<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<html>
<head>
        <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
        <title>eBPLS Business Permit and Licensing System</title>
        <meta name="Author" content=" PAARV ">
        <link href="stylesheets/default.css" rel="stylesheet" type="text/css">
<title></title>
</head>
<body>
<script language="Javascript">
	function confdel(cc)
	{
		var _FRM = document._FRM;
		doyou = confirm("Record Will Be Deleted, Continue?");
			if (doyou==true) {
					_FRM.bbo.value = cc;
               		_FRM.confx.value = 1;
        	} else {
                	_FRM.confx.value=0;
                	return false;
        	}
              	_FRM.submit();
               	return true;
	}
</script>
<form action="index.php?part=4&class_type=Preference&selMode=<?php echo $selMode;?>&action_=8&itemEvent=1&data_item=0&orderbyasde=1" ENCTYPE="multipart/form-data" method="post" name="_FRM">
                                                                                                 
<input type=hidden name=part value="<?php echo $part;?>">
<input type=hidden name=class_type value="<?php echo $class_type;?>">
<input type=hidden name=selMode value="<?php echo $selMode;?>">
<input type=hidden name=action_ value="<?php echo $action_;?>">
<input type=hidden name=itemEvent value="<?php echo $itemEvent;?>">
<input type=hidden name=bbo value="<?php echo $bbo;?>">
<input type=hidden name=confx value="<?php echo $confx;?>">
<table border=0 width=100% align=center cellspacing=0 cellpadding=0>
	<tr><td colspan=2 class=header2 align=center> LOT PIN </td></tr>
	<tr><td colspan=2 ><br></td></tr>
	<tr><td colspan=2 ><br></td></tr>
	<tr width=100%>
		<td> &nbsp </td>
	</tr>
	<tr width=100%>
		<td> &nbsp </td>
	</tr>
	<tr width=100%>
		<td align=right valign=top> Province : </td>
		<td align=left valign=top> &nbsp 
			<select name=permit_type>
				<option value='<?php echo $permit_type;?>'><?php echo $permit_type;?>
				<option value='Business'>Business</option>
				<option value='Motorized'>Motorized</option>
				<option value='Franchise'>Franchise</option>
				<option value='Occupational'>Occupational</option>
				<option value='Fishery'>Fishery</option>
				<option value='Peddlers'>Peddlers</option>
			</select>
		<td> &nbsp </td>
	</tr>
	<tr width=100%>
		<td align=right valign=top> LGU : </td>
		<td align=left valign=top> &nbsp <input type=text maxlength=10 align=left name=permit_header class=text180 value='<?php echo $permit_header; ?>'></td>
		<td> &nbsp </td>
	</tr>
	<tr width=100%>
		<td align=right valign=top> District : </td>
		<td align='left' valign=top> &nbsp;<input type=checkbox name='permit_date' align='left' valign=top value='ON' <? echo $permit_date_check;?>></td>
		<td> &nbsp </td>
	</tr>
	<tr width=100%>
		<td align=right valign=top> Barangay : </td>
		<td align=left valign=top> &nbsp <input type=text maxlength=15 name=permit_sequence class=text180 value='<?php echo $permit_sequence; ?>'></td>
		<td> &nbsp </td>
	</tr>
	<tr width=100%>
		<td align=right valign=top> Building Name : </td>
		<td align=left valign=top> &nbsp <input type=text maxlength=15 name=permit_sequence class=text180 value='<?php echo $permit_sequence; ?>'></td>
		<td> &nbsp </td>
	</tr>
	<tr width=100%>
		<td align=right valign=top> Parcel Number : </td>
		<td align=left valign=top> &nbsp <input type=text maxlength=15 name=permit_sequence class=text180 value='<?php echo $permit_sequence; ?>'></td>
		<td> &nbsp </td>
	</tr>
	<tr width=100%>
		<td align=right valign=top> Lot Pin : </td>
		<td align=left valign=top> &nbsp <input type=text maxlength=15 name=permit_sequence class=text180 value='<?php echo $permit_sequence; ?>'></td>
		<td> &nbsp </td>
	</tr>
</table>
<table align=center border=0 cellspacing=0 cellpadding=0 width=90%>
        <tr width=100%>
                <td align=center valign=top>&nbsp</td>
        </tr>
        <tr width=100%>
                <td align=center valign=top>
                        <input type=submit value=Submit name=sb>
                        <input type=Button value=Cancel onClick='history.go(-1);'>
                        <input type=Reset value=Reset>
                        &nbsp<br><br>
                </td>
        </tr>
</table>
</form>
</body>
</html>
